Hospital Acquired Pressure Ulcers/Injuries (HAPU/I) Prevention
Three healthcare organizations partnered to prevent HAPIs using Robust Process Improvement. The teams used RPI to identify 23 root causes in their daily work, implemented countermeasures to address them and sustained 62% improvements in HAPI rates, with a validated savings of $15.3MM.
Prevention of HAPU/I
The Agency for Healthcare Research and Quality found that despite a 13 percent decrease in all hospital-acquired conditions from 2014-2017, HAPU/I rates have risen by six percent.
There are many barriers to consistent, successful implementation of preventative measures for HAPU/I. The project utilized Robust Process Improvement® (RPI®) methodology with three participating hospitals. RPI is a fact-based, systematic, and data-driven problem-solving methodology which incorporates tools and concepts from Lean Six Sigma and Change Management.
This methodology facilitated the identification of the root causes and barriers to preventing HAPU/I (s) in at-risk patients. The participating hospitals identified and developed solutions to target their organization’s specific root causes. Starting from evidence-based practices and utilizing robust process improvement techniques detailed investigation, change management, and analysis were completed. The hospital teams identified five significant contributing factors resulting in 23 root causes validated, and solutions targeted to those root causes were implemented. Each solution was piloted, validated and sustained by the teams.
The Johns Hopkins Hospital
Kaiser Permanente South Sacramento Hospital
Memorial Hermann Southeast Hospital in Houston
For more information on the project, please see the blog and press release.
- Hand Hygiene
- Hand-off Communications
- Hospital Acquired Pressure Injuries Prevention
- Preventing Avoidable Heart Failure Hospitalizations
- Preventing Falls
- Reducing C. Diff Infections
- Reducing Sepsis Mortality
- Safe and Effective Use of Insulin
- Safe Surgery
- Safety Culture
- Surgical Site Infections
- Venous Thromboembolism (VTE) Prevention